Actual Cost of E-CPR in Australia
A recent study conducted in Australia applied time-driven activity-based costing (TDABC) to determine the actual cost of extracorporeal cardiopulmonary resuscitation (E-CPR). The analysis revealed that the average cost per care cycle was approximately $75,014. This comprehensive estimate included all significant components of care delivery, with intensive care unit (ICU) management emerging as the most critical…
Read
Pancreas Transplant Opportunities: The Promise of DCD Donors Explored in New Systematic Review
The newsletter discusses a systematic review article titled “Donor after circulatory death in pancreas transplantation: a scoping review of the literature,” published in Frontiers in Transplantation. This review critically addresses the utilization of donors after circulatory death (DCD) as a viable strategy to alleviate the widening gap between the high demand for pancreas transplants and…
Read
Sepsis-ECMO Score: A New Tool for Enhancing ECMO Support Outcomes in Sepsis Patients
The newsletter about the recent article from the ASAIO Journal titled “Sepsis-Extracorporeal Membrane Oxygenation Score in Patients Receiving Extracorporeal Membrane Oxygenation Support for Sepsis” by Fu Hongfu et al. provides a detailed overview of an innovative study that marks a significant advancement in the treatment of sepsis in adult patients requiring extracorporeal membrane oxygenation (ECMO)…
Read
Monitored Anesthesia Care: A Promising Alternative for Safer, Faster Recovery in Cardiac Surgery with Cardiopulmonary Bypass (CPB)
A recent study published in the European Journal of Medical Research by Wen-Ting Chen et al. investigates the potential benefits of monitored anesthesia care (MAC) over intubated general anesthesia (IGA) for patients undergoing elective cardiac surgeries involving cardiopulmonary bypass (CPB). Conducted from April 2012 to February 2017, this prospective observational study included 24 patients, 11…
Read
Daylight Transplants: Organ Transplant Procedures through a Provincial Quality Improvement Initiative
The article “Transitioning from night to day transplants: changing the transplant culture for optimisation through a province-wide quality improvement initiative” by Lucas Streith et al., published in BMJ Open Quality, elaborates on a significant quality improvement initiative aimed at shifting organ transplants from overnight to daytime hours. Historically, these complex surgeries have been conducted at…
Read
Renal Transplant Perfusion through Strategic Patient Positioning
In the recent article published in Ultrasound, titled “Ultrasound assessment of the effect of patient position and body shape on peri-operative renal transplant cortical resistive indices and perfusion,” Linda Thebridge and her colleagues focus on how patient positioning and body shape impact renal transplant perfusion during the peri-operative period. The research involved 123 consecutive adult…
Read
Multidirectional Blood Flow During Cardiopulmonary Bypass: A Case of False Aortic Dissection Identified with Transesophageal Echocardiography
The case report: “Multidirectional Blood Flow During Cardiopulmonary Bypass Mimicking an Iatrogenic Aortic Dissection During Transesophageal Echocardiographic Examination” from Cardiovascular Imaging Case Report by John C. Foster et al. details a complex scenario during cardiopulmonary bypass (CPB) where multidirectional blood flow in the thoracic aorta mimicked the appearance of an iatrogenic aortic dissection (IAD) in…
Read
Revolutionizing Heart Surgery: The Transformation of Saphenous Vein Grafts into High-Performance Conduits
The saphenous vein graft (SVG) has long been a cornerstone of coronary bypass surgery, renowned for its essential role yet notorious for its vulnerability to atherosclerosis, which limits its long-term patency. This dichotomy has driven advancements in surgical techniques that aim to enhance the effectiveness of SVGs. Recent innovative approaches, such as the no-touch technique…
Read
Successful Treatment of Patent Ductus Arteriosus in Newborns with Severe Respiratory Failure During ECMO Therapy
The study by Qi-Liang Zhang and Colleagues, published in the Italian Journal of Pediatrics, explores the outcomes of patent ductus arteriosus (PDA) ligation in newborns suffering from severe respiratory failure due to persistent pulmonary hypertension of the newborn (PPHN) while undergoing extracorporeal membrane oxygenation (ECMO) treatment. This retrospective study reviews clinical data from five newborns…
Read
Impact of Extracorporeal Life Support on Liver Health and Survival Post-Lung Transplant
The article titled “Postoperative Liver Dysfunction After Lung Transplantation With Extracorporeal Life Support and 1-Year Mortality-A Cohort Study” by Cecilia Veraar et al., featured in the Journal of Cardiothoracic and Vascular Anesthesia conducts an in-depth exploration of the prevalence and consequences of liver dysfunction following lung transplants, particularly those that involve the use of extracorporeal…
Read
Vortex Dynamics in the Aortic Root: Implications for LVAD Optimization
The article titled “Aortic Root Vortex Formation During Left Ventricular Assist Device Support” by Pangelina, Chaztyn, and colleagues, published in the journal ASAIO delves into the crucial dynamics of vortex formation in the aortic root under the influence of left ventricular assist devices (LVADs). The research emphasizes these vortices’ critical role in optimizing blood flow….
Read
Redefining ECMO in Hematologic and Non-Hematologic Malignancy
This newsletter introduces a recent literature review by Roberto Rabello Filho et al., published in Frontiers in Intensive Care Medicine and Anesthesiology Section: “Extracorporeal membrane oxygenation in critically ill patients with active hematologic and non-hematologic malignancy: a literature review,” on the use of extracorporeal membrane oxygenation (ECMO) in critically ill patients with active hematologic and…
Read